| Doctor Name: | GORDON WINCHELL |
| NPI Number: | 1154531655 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | CC109 |
| Business Practice Address: | 497 Elm St Biddeford, ME - 040054217 |
| Business Phone Number: | 1800455872 |
| Business Fax Number: | |
| Mailing Address: | 687 Highland Ave, NEEDHAM |
| State: | MA |
| Postal Code: | 024942232 |
| Phone Number: | 1800455872 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CC109 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |